What is Electronic Visit Verification?

Electronic Visit Verification is a computer-based system that electronically verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. The EVV program was implemented to replace paper-based attendant time sheets

Texas requires EVV for certain Medicaid funded home and community-based services provided through the Health and Human Services Commission and health plans.

Which Providers must use EVV?

STAR Kids providers that provide the following services:

Personal care services

In-home respite services

Flexible family support services

Community First Choice - Personal assistance services and habilitation

**EVV is optional for members who have selected the Consumer Directed Services option or the Service Responsibility Option.

How does EVV work?

When an attendant provides services to a client in the home or the community, the attendant must use one of three approved EVV time recording methods to clock in when services begin and clock out when services end. Below is an example of how the attendant would use each approved EVV time recording method.

Home Landline Telephone

The attendant arrives at the home and before starting services, uses the client’s landline phone to call a toll-free number, issued by the EVV vendor, to clock in. The attendant may be prompted to enter their EVV ID or other identifying data elements, depending on the EVV vendor’s system. The attendant follows this same process when clocking out.

Small Alternative Device

The attendant arrives at the home and before starting services, locates the placement of a small alternative device in the home and writes down the numeric code displayed on the device. The attendant can then begin providing services. When the visit is complete, the attendant writes down a second numeric code displayed on the device. The attendant then calls a toll-free number, issued by the EVV vendor, and enters the first numeric code for clocking in and enters the second numeric code for clocking out. The numeric codes displayed on the small alternative device are like electronic time stamps, capturing the date and time of the visit.

Global Positioning System Mobile Application

The attendant arrives at the home and before starting services, locates the placement of a small alternative device in the home and writes down the numeric code displayed on the device. The attendant can then begin providing services. When the visit is complete, the attendant writes down a second numeric code displayed on the device. The attendant then calls a toll-free number, issued by the EVV vendor, and enters the first numeric code for clocking in and enters the second numeric code for clocking out. The numeric codes displayed on the small alternative device are like electronic time stamps, capturing the date and time of the visit.

How do I get started with EVV?

Research HHSC approved EVV vendors:

Data Logic (VESTA) Software

MEDsys Software Solutions (Contract is expiring on November 6; MEDsys is not currently accepting new providers)

Select an HHSC approved EVV vendor < DataLogic

Complete the Vesta EVV Agency Information Form (PDF)

Submit the completed Vesta EVV Agency Information Form to the email address or fax number detailed in the form.

Claims Validation

CCHP will administer EVV compliance based on claims validation against submitted EVV transactional data. For EVV covered services, we will evaluate billed claims against verified visits (logged in the EVV system selected by the provider) which are transferred daily to CCHP.

After standard claim adjudication rules, we will execute an additional verification based on matching Provider ID, Member ID, dates of service, procedure codes, and billed units. If the EVV transactional units match the billed units, the claims will pay appropriately.

If there is no corresponding EVV transactional data, the claim is subject to denial.

If the billed units exceed the EVV validated transactional units, the claim is subject to denial or partial payment for units that were validated.